Russell S. Fillmore in Mansfield - Pediatrics
Russell S. Fillmore - NPI 1306860754
Russell S. Fillmore is a Pediatrics in Mansfield, Ohio. Russell S. Fillmore practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Russell S. Fillmore is 1306860754. The last update date is 2017-06-30.
Russell S. Fillmore's current location address is 1164 Lexington Ave, Mansfield, Ohio. You can contact this provider via phone number 4197560500. The mailing address for Russell S. Fillmore is 1164 Lexington Ave, Mansfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Russell S. Fillmore |
|---|---|
| Address | 1164 Lexington Ave, Mansfield, Ohio |
| Phone Number | 4197560500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1306860754 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2017-06-30 |
Provider Mailing Address Detail
| Address | 1164 Lexington Ave |
|---|---|
| City | Mansfield |
| State | Ohio (OH) |
| Post Code | 449072254 |
| Phone Number | 4197560500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 152Wp0200X |
| Licence No | 4193T1387 |
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Definition: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 811607 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Russell S. Fillmore by the Centers for Medicare & Medicaid Services?
The Russell S. Fillmore has been issued the NPI (National Provider Identifier) 1306860754, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Russell S. Fillmore's physical address?
The Russell S. Fillmore is physically located at 1164 Lexington Ave, in the city of Mansfield, OH, with the postal code 449072254.
What is Russell S. Fillmore's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Russell S. Fillmore is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 152Wp0200X.
When did Russell S. Fillmore receive its 1306860754 assignment?
The Russell S. Fillmore was assigned its 1306860754 on 2006-07-27, which is the date when this unique identifier was issued to the organization.
As of what date were the Russell S. Fillmore's details last updated?
The information pertaining to the Russell S. Fillmore, including its address, specialty, and other details, was most recently updated on 2017-06-30.